Individual
REINHARD KARL KAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
361 MAIN ST, MANCHESTER, CT 06040-4127
(860) 646-9929
(860) 646-7999
Mailing address
361 MAIN ST, MANCHESTER, CT 06040-4127
(860) 646-9929
(860) 646-7999
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
039413
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010033888CT01
ANTHEM PROVIDER ID
—
01
—
0V9772
HEALTH NET PROVIDER ID
—
01
—
2622766
AETNA PROVIDER ID
—
Enumeration date
09/14/2005
Last updated
07/19/2007
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